OneSource RCM
Pricing
Transparent. Percentage-based. Designed around how revenue actually behaves.
OneSource RCM uses transparent, percentage-based pricing whenever permitted. We are intentionally structured as a boutique practice so we can stay hands-on, responsive, and accountable.
Not all revenue behaves the same. Our pricing reflects the administrative involvement required to manage it accurately, not provider credentials, titles, or perceived prestige.
What you're actually paying for
You’re not paying for claim submission alone.
You’re paying for ownership of your revenue.
Most practices come to us after dealing with offshore billing, slow responses, unclear accountability, or “submit and wait” workflows. We operate differently by design.
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Direct access to the person managing your billing
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Deep involvement during onboarding and stabilization
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Proactive payer follow-up and issue resolution
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Real guidance when workflows break, change, or stall
State-Specific Pricing Considerations
In some states, regulations may limit or restrict percentage-based billing arrangements.
When percentage-based pricing is not permitted, engagements are structured using compliant alternatives such as:
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tiered claim volume
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number of claims submitted
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fixed monthly fees
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hybrid or phased arrangements
Additional information is required to determine the appropriate structure. All pricing in percentage-restricted states is discussed upfront and transparently.
Why this matters
This ensures compliance while still aligning pricing with actual workload and accountability
How pricing works
When permitted, billing fees are calculated as a percentage of gross insurance and patient collections.
The percentage reflects the level of operational work required behind each dollar collected. Two practices collecting the same amount may require very different levels of effort.
What drives complexity
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claim volume relative to revenue
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authorization requirements
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payer response time and denial rates
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credentialing and enrollment activity
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payer carve-outs
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EHR complexity and reconciliation reliability
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level of follow-up and rework required
What collections are included
Pricing is based on gross insurance and patient collections managed through the billing workflow. This may include self-pay or direct-pay collections, depending on how those payments are processed and reconciled
Self-pay and direct-pay collections are often included because they help offset the additional administrative effort required for complex insurance claims, authorizations, payer follow-up, and reconciliation across multiple payment sources.
In most EHRs, self-pay activity still requires billing intervention to ensure accurate payment posting, reconciliation, and reporting.
The goal is to align pricing with actual billing effort, not to charge for payments that require no involvement.
Self-pay or direct-pay collections not handled within the billing system are always excluded. Any additional exclusions are confirmed before engagement.
Why pricing is based on complexity, not credentials
Titles and specialties don’t determine workload. Authorization volume, payer behavior, denial rates, and workflow maturity do.
That’s why pricing is aligned to operational reality, not credentials.
This approach allows efficient, established practices to benefit from lower pricing over time, while ensuring new or high-friction practices receive the support they actually need.
Foundational Revenue Support
7.5% - 9.0%
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New practices
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Authorization-heavy workflows
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Medicaid or carve-outs
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Active credentialing and enrollment
Hands-on stabilization and payer navigation.
Standard Revenue Support
6.5% - 7.25%
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Established workflows
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Mixed commercial payer mix
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Reduced authorization volume
Balanced oversight as workflows mature.
Streamlined Revenue Support
5.25% - 6.25%
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Low claim volume per dollar
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Minimal authorization requirements
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Predictable revenue cycles
Efficient, low-intervention billing
Pricing ranges shown are indicative only. Final pricing is confirmed in writing prior to engagement and documented in Schedule A.
New Practices
Newer practices often require heavier upfront involvement due to enrollment delays, authorization workflows, documentation alignment, and system setup. These practices typically begin in Foundational Revenue Support.
Established Practices
Practices operating for 12+ months with stable enrollments and consistent workflows often qualify for Standard or Streamlined pricing over time.
How pricing evolves over time
As workflows stabilize and administrative involvement decreases, pricing may be reviewed to reflect the current level of support required.
Reviews typically occur after 90–120 days of operational stability and apply prospectively by written agreement.
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Claim quality and rework levels
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Authorization readiness
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Denial and follow-up volume
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Documentation consistency
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Payer enrollment stability
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Workflow maturity
What's included
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Claim submission and follow-up
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Denial management and appeals
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Payment posting and reconciliation
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Payer communication
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Credentialing and enrollment support
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Revenue troubleshooting and guidance
What we don't do
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Offshore billing
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Ticket systems or call queues
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Hidden fees
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Volume-driven shortcuts
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“Submit and wait” workflows
Why we're not the cheapest
OneSource RCM is intentionally structured as a boutique practice. We work with a limited number of clients so we can stay responsive, accountable, and deeply involved.
If you’re looking for the lowest percentage available, we may not be the right fit. If you’re looking for clarity, continuity, and real ownership of your revenue, we usually are.
Real Results: 145% Revenue Growth
A Maryland mental health group was stuck with unpaid Medicaid claims, bad credentialing, and poor billing support. We rebuilt their entire RCM process in under 90 days — and increased collections by 145%.
Still Have Questions?
Do you charge extra for credentialing?
No — if you’re under our RCM model, it’s included.
Do I need to be on a certain EHR?
We work with most major platforms (Tebra, TherapyNotes, eCW, AdvancedMD, ModMed). Or we can help you find a suitable EHR.
Can I start small?
Yes. We work with solo providers and growing group practices. Our goal is long-term partnership.
Do you work with mental health only?
We specialize in behavioral health and have experience with primary care, dermatology, and small specialties.